Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY L KOEHN, MD, PHD
Active Sole ProprietorGARY L KOEHN, MD, PHD is a Interventional Vascular Surgery healthcare provider located in LA GRANGE HIGHLANDS, Illinois. NPI 1992758965 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · LA GRANGE HIGHLANDS, IL
Registration Details
- NPI Number
- 1992758965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.252283540935 yrs)
- Last Updated
- Nov 8, 2012
- Licenses
-
25969 (WI)036074138 (IL)036074138 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5201 WILLOW SPRINGS RDSUITE 110LA GRANGE HIGHLANDS, IL, 605256537Browse IL providers · Browse ZIP 60525
- Phone
- 7084824500
- Fax
- 7084824502
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.